经前庭沟切口的骨膜下隧道技术在牙龈退缩治疗中的应用  

Application of vestibular incision subperiosteal tunnel access in the treatment of gingival recession

作　　者：刘佳瑞 张宇喆 宁杨[1] Liu Jiarui;Zhang Yuzhe;Ning Yang(Hospital of Stomatology,Guanghua School of Stomatology,Sun Yat-sen University,Guangdong Provincial Key Laboratory of Stomatology,Guangdong Provincial Clinical Research Center of Oral Diseases,Guangzhou 510055,China)

机构地区：[1]中山大学附属口腔医院,光华口腔医学院,广东省口腔医学重点实验室,广东省口腔疾病临床医学研究中心,广州510055

出　　处：《中华口腔医学研究杂志（电子版）》2024年第3期143-149,F0004,共8页Chinese Journal of Stomatological Research(Electronic Edition)

基　　金：2023年度广东省临床教学基地教学改革研究项目(牙周病规范化临床教学质量监控体系的建设);2023年度广东省“新医科”教学改革项目(牙周病学实验室教学创新体系构建)。

摘　　要：牙龈退缩作为常见口腔病损,可影响患者牙齿美观和引起功能障碍。临床上有多种治疗牙龈退缩的膜龈手术,近年来一种新的微创术式--经前庭沟切口的骨膜下隧道技术(VISTA)因其根面覆盖率高、术后美学效果好等优点得到日益广泛的应用。临床研究表明,VISTA技术的应用可以使牙龈退缩深度和宽度减少,角化龈增加,且患者术后反应较轻,美学评分较高。本文介绍了VISTA技术的演变史、优势、适应证、手术步骤和相关临床疗效评估,以期促进VISTA技术在牙龈退缩治疗中的应用。Gingival recession,a prevalent oral condition,poses both aesthetic and functional challenges for the affected teeth.Various mucogingival surgical approaches have been developed to address gingival recession.In recent years,the vestibular incision subperiosteal tunnel access(VISTA)technique has gained prominence due to its minimally invasive nature and its capacity to achieve substantial root coverage and superior aesthetic outcomes.Numerous clinical investigations have demonstrated the efficacy of VISTA in reducing recession depth and width,augmenting keratinized gingival width,and minimizing postoperative complications while enhancing aesthetic outcomes.This article aimed to comprehensively review the evolution of VISTA,elucidate its advantages and indications,delineate surgical procedures,and evaluate its clinical efficacy,with the overarching goal of fostering wider adoption of this technique in gingival recession treatment.

关 键 词：经前庭沟切口的骨膜下隧道技术 牙龈退缩 微创 根面覆盖 

分 类 号：R781.4[医药卫生—口腔医学]